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Early-Life Inflammation, Immune Response and Ageing: Research
Early-Life Inflammation, Immune Response and Ageing: Research
Cite this article: Khan I, Agashe D, Rolff J. IK, 0000-0002-0110-2274; DA, 0000-0002-0374-8159; JR, 0000-0002-1529-5409
2017 Early-life inflammation, immune
Age-related diseases are often attributed to immunopathology, which results
response and ageing. Proc. R. Soc. B 284:
in self-damage caused by an inappropriate inflammatory response. Immuno-
20170125. pathology associated with early-life inflammation also appears to cause faster
http://dx.doi.org/10.1098/rspb.2017.0125 ageing, although we lack direct experimental evidence for this association. To
Downloaded from https://royalsocietypublishing.org/ on 05 December 2021
& 2017 The Author(s) Published by the Royal Society. All rights reserved.
functionally analogous to the human kidney [9,10], playing a with apple every 3 days. Under natural conditions, Tenebrio is 2
critical role in osmoregulation as well as detoxification of exposed regularly to a number of pathogens, including fungi
[26] and microsporidia [27]. However, we have no evidence for
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haemolymph [11]. They are exposed to haemolymph owing
to functional necessities and extend throughout the body virulent microbial infections in our stock population. To produce
inflammatory responses without pathogenesis (see below for
cavity of insects [12]. The lack of an impermeable protective
experiment 1), we used peptidoglycans (Sigma) derived from
membrane combined with the spatial disposition makes
Staphylococcus aureus strain JLA513, a tetracycline resistant
MTs particularly vulnerable to damage during an immune
strain known to cause persistent infections in T. molitor [28].
response [13]. However, we lack direct experimental evidence For all live infections (see below for experiments 2 and 3), we
for the role of damage to MTs as a mediator of faster ageing used stationary-phase S. aureus culture (same strain as men-
owing to early immune response. The PO pathway, a fast- tioned above). We collected early pupae and determined their
acting immune effector in insects [14], is a likely candidate sex by observing the terminal abdominal segments. Upon emer-
to cause autoreactive tissue damage via cytotoxic interme- gence, only females weighing between 120 and 150 mg were
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[34] to estimate relative gene expression (see electronic sup- We grew a S. aureus culture overnight in liquid LB medium to
plementary material, figure S2 and table S3 for RNAi efficacy). an OD600 of 95%. We then centrifuged the culture, washed the
Following the immune challenge, a subset of beetles from all pellet three times before re-suspending in insect Ringer solution.
RNAi treatments (n ¼ 30 beetles per treatment) was monitored We injected 5 ml of this suspension directly into the haemo-
for total lifespan. Four days after immune challenge, the remain- coel of each individual (approx. 4 106 colony-forming units
ing beetles were either assayed for MT activity (n ¼ 20– 28 beetles (CFUs) per inoculum; see [28]). Control individuals were
per treatment) or PO response (n ¼ 16 beetles per treatment; see injected with 5 ml of Ringer solution. After infection, we redis-
below for methods). A set of 30 beetles served as unhandled full tributed beetles individually into grid boxes under standard
controls (control) that remained in the grid box container conditions with access to food. For a subset of beetles (n ¼
throughout the experimental window. In addition, as a pro- 14 – 15 beetles per age group per treatment), we monitored indi-
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tributed (tested with Shapiro – Wilks test). Hence, we log- (a) Phenoloxidase response after early inflammation
transformed the data, and confirmed that the transformed
residuals were normally distributed. Following this, we used increases mortality and organ damage
a two-way or one-way ANOVA to test the following effects: We found that an early immune challenge in young adults
(i) bacterial clearance as a function of age and assay time caused an increase in PO response (figure 1a and electronic
(ii) PO response of early immune-challenged beetles as a func- supplementary material, table S4a), with a concomitant
tion of RNAi treatments. We tested for pairwise differences reduction in MT activity (figure 1b and electronic supplemen-
between treatments after correcting for multiple comparisons, tary material, table S4b). We further observed that RNAi
using Tukey’s HSD. Non-normally distributed data that could knockdown of the PO response reduced MT damage in
not be transformed to a normal distribution were analysed immune-challenged beetles, resulting in a limited reduction
using non-parametric Wilcoxon rank sum tests: (i) MT activity
treatments. Here, we used a Steel – Dwass test to estimate be ruled out, however, as the RNAi manipulation reduced
pairwise differences. PO transcripts which strongly correlates with the decreased
We used Cox proportional hazard survival analysis to test PO enzymatic activity determined by the standard spectro-
the following effects: (i) beetle survival as a function of age photometric method (compare electronic supplementary
and infection (ii) post-infection survival of old beetles as a func- material, figure S2 and figure 1a).
tion of RNAi treatments. We did not have any censored values An AFT model showed that early immune-challenged
while analysing the data, as all beetles died within the exper-
beetles also had shorter lifespans compared with full control
imental window. We calculated the impact of treatment (e.g.
and procedural control beetles (figure 2a,b and electronic sup-
bacterial infection or RNAi) as the estimated hazard ratio of
plementary material, table S5a). We did not detect mortality
the experimental versus the control group (hazard ratio ¼ rate
of deaths occurring in the experimental group per rate of until 16 days following the immune challenge, suggesting
deaths occurring in the control group). A hazard ratio signifi- that early immune challenge did not have an immediate
cantly greater than one indicates an increased risk of mortality impact on survival (figure 2a). The c-parameter was lowest
in the experimental group compared with control individuals. in immune-challenged control (EI) beetles, suggesting a
We analysed median and maximum lifespans to measure the reduction in median lifespan ( per cent decline with respect
change in ageing rate following early-life immune activation. We to full control, 100(c 2 1): approx. 35%) following an early-
used accelerated failure time (AFT) models [40] to examine the life immune response (figure 2b and electronic supplementary
median lifespan in R using the ‘survival’ package, with each material, table S5a). The negative impact of an early immune
model separately analysing the difference in median lifespan
challenge on beetle lifespan could also be reversed by RNA
between a treatment and unhandled control group. We also com-
interference of proPO transcripts (e.g. PO1 and PO2) in
pared knockout (PO1 and PO2) versus early immune-challenged
immune-challenged beetles (figure 2a,b and electronic sup-
control (EI) beetles to analyse whether PO knockdown increased
lifespan after an early immune response. We found that the Wei- plementary material, table S5a). RNAi of both the
bull distribution minimized the Akaike’s information criterion transcripts extended the lifespan by approximately 31–32%
(AIC) value of AFT models, and was thus the most appropriate compared with immune-challenged control (EI) beetles
method to use for each comparison. For each model, we (figure 2b and electronic supplementary material, table S5a).
estimated the c-parameter (exponential (estimated coefficient Analysis of maximum lifespan produced similar results as
associated with lifespan)) representing the difference in median that of median lifespan. The 90th percentile of overall survival
lifespan between the two groups, as suggested by Swindell time was 74 days (pooling all individuals across treatments);
[40]. A c-parameter value significantly less than 1 indicates the percentage of immune-challenged individuals surviving
reduction in lifespan and vice versa. For a given comparison,
to this time was significantly lower than control groups
the value 100(c 2 1) represents the per cent change in median
(EI ¼ 3%, PO1 ¼ 10%, PO2 ¼ 10%, PC ¼ 23%, control ¼ 27%;
lifespan of the experimental versus the control group [41].
also see figure 2c and electronic supplementary material,
Maximum lifespan has been suggested as an important
indicator of the ageing process [42]; hence, we used it to test table S5b for treatment effects). These data suggest accelera-
the impact of early immune response on ageing. We first esti- tion in ageing owing to early-life immune response
mated the 90th percentile lifespan when all treatments were (compare 90th percentile survival for each experimental
combined, and then calculated the percentage of beetles in group: FC ¼ 79.5; PC ¼ 83.1, EI ¼ 57.6; PO1 ¼ 73.8, PO2 ¼
each treatment group living until this time. We then performed 73.8). Finally, we found that RNAi knockdown of the PO
exact unconditional tests using a contingency table approach to response significantly increased maximum lifespan compared
compare percentage survival of each treatment group with with immune-challenged EI beetles with normal PO levels,
unhandled control beetles (www.stat.ncsu.edu/exact). We suggesting delayed ageing in knockout groups (compare
also compared knockout beetles versus immune-challenged
ageing acceleration in figure 2c and electronic supplementary
control beetles (i.e. PO1 versus EI or PO2 versus EI) to test
material, table S5b).
whether PO knockdown increased maximum lifespan signifi-
cantly. We used a binomial, two-way model to generate a
pooled z-score test p-value for each comparison. To obtain
the treatment effect for each comparison, we divided the per- (b) Immune responses increase with age
centage survival of the respective control groups by that of We found a rapid clearance of bacterial cells in both young
the experimental group. and old beetles: more than 98% cells were removed within
(a) table S6c) and higher expression of the antimicrobial peptides 5
0.030
B attacin 2 and tenecin 1 (figure 3d and electronic supplemen-
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0.025 tary material, table S3), even in the absence of a previous
phenoloxidase activity
bacterial infection.
Vmax (OD min–1)
0.020 C
0.015 C (c) Older beetles die faster after bacterial infection
A To test if an age-related increase in immunity also confers
0.010
greater survival benefits, we tested the impact of S. aureus
0.005 infection on the survival of young versus old beetles. Com-
pared with young beetles, we found that old beetles died
0 n much faster after an infection (hazard ratio: sham-infection
ol
O2 ion
i-P mat
ma
i- ma
co
NA am
NA am
figure 3e and electronic supplementary material, table S6d).
+ R infl
+ R infl
inf
rly
rly
ea
ea
0.025
(d) Increased immune response impairs Malpighian
0.020 tubule activity via immunopathology
0.015 We found that ageing itself reduced the baseline MT activity
in sham-infected beetles. Bacterial infection impaired the
0.010 fluid transport ability of MTs in both age groups, but the rela-
C C
tive impact of infection was much larger in infected older
0.005 B
beetles (approx. 95% reduction, compared with an approx.
0 73% reduction in young beetles; figure 3f and electronic
supplementary material, table S7a). As observed for early
n
ol
O2 ion
tio
ntr
i- mat
i-P mat
ma
lam
NA am
NA am
+ R infl
inf
rly
ea
ea
ea
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proportion surviving
control
0.8
sham inflammation
0.6
early inflammation
0.4 early inflammation + RNAi-PO1
0.2 early inflammation + RNAi-PO2
0
0 20 40 60 80
lifespan after early inflammation (in days)
10
1.2 A A B
ageing acceleration
8
C C
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1.0 6
0.8 B 4 C C
2 A A
0.6
0
+ inf 1 n
+ inf 1 n
l
RN nfla tion
O tion
RN fla tion
O tion
n
n
tro
tro
rly PO tio
rly PO tio
io
io
n
n
ea Ai- ma
ea i- ma
at
at
a
i-P a
i-P a
co
co
m
A mm
A mm
m
m
2
2
m
m
m
m
m
m
fla
RN la
fla
RN la
fla
fla
in
in
in
A
in
in
i
rly
rly
rly
rly
am
am
ea
ea
ea
ea
+
+
sh
sh
treatment treatment
Figure 2. (a) Survival curves of adults after an early immune challenge that induced inflammation (n ¼ 30 beetles per treatment). (b) Impact of phenoloxidase
(PO) knockdown on median lifespan. Survival of each experimental group was compared with the unhandled control group using an accelerated failure time model.
The c-parameter denotes the effect of the immune challenge treatment on survival, averaged over total survival time. Error bars represent 95% confidence intervals.
(c) Impact of PO knockdown on maximum lifespan. ‘Ageing acceleration’ on the y-axis denotes the reduction in maximum lifespan caused by immune challenge
treatments (the percentage of survivors to the 90th percentile survival time in the full control group/the percentage of survivors to the 90th percentile survival time
in the experimental group). Control ¼ unhandled control beetles; sham inflammation ¼ procedural control for early life immune challenge; early inflammation ¼
early life immune challenged control beetles; early inflammation þ RNAi-PO1 ¼ RNAi of PO1 transcript followed by an early inflammation; early inflammation þ
RNAi-PO2 ¼ RNAi of PO2 transcript followed by an early inflammation.
beetle immunity such as PO response, antimicrobial peptide that immunopathology is indeed the most probable
gene expression, induction of haemolymph antibacterial explanation for our observed results.
activity and the ability to clear S. aureus infection, it also In a prior study, Ayres & Schneider [16] had predicted a
severely impaired MTs and compromised the ability to direct role for the PO response pathway in immunopathologi-
survive after bacterial infection. We found that RNAi knock- cal damage and increased post-infection mortality of fruit
down of the PO response once again minimized damage to flies. Our data not only support this prediction, but also indi-
MTs of old beetles, partially rescued fluid transport ability cate impaired MT activity as an important mechanism
and extended adult lifespan after infection. Thus, one of the underlying the immunopathological consequences of the
most interesting implications of our work is the likely role PO response and associated reduction in lifespan. We note
of immunopathological damage to MTs that underlies that other components of the immune system can also be
the effects of early immune activation as well as the later involved in immunopathology, and the PO pathway may
impacts of infection. Because we used fluid secretion rate as not be the sole determinant of immunopathology. For
a proxy for immunopathological damage and given that instance, the tumour necrosis factor-like protein encoded by
fluid transportation can be energy-intensive, a possible the gene eiger is known to cause immunopathology in fruit
alternative is that the reduced fluid transport after immune flies [43]. NF-kB signalling, which is involved in chronic
challenge indicates a trade-off between immune induc- inflammation in vertebrates [44], may also cause immuno-
tion and MT excretion [9]. Yet another possibility is that pathology in insects, though it is poorly studied. We thus
immune activation may alter the phosphorylation state of suggest the need for further studies to test the fitness impacts
dFOXO of the tubules, which may in turn change its fluid of immunopathology caused by other immune effectors.
transport ability without direct immunopathological conse- Another important finding of our study is a mechanism
quences [9]. In both cases, a general immune activation to explain the discordance between immune response and
should lead to altered MT fluid secretion. However, previous the host fitness post-infection, reported in this study as well
work in Tenebrio shows that MT function decreased with local as in flour beetles [22] and fruitflies [45,46]. Such a mismatch
rather than with general immune activation [13], suggesting suggests that the inherent ability to mount an immune
(a) (b) 7
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Y
5 A AA O O
bacterial load
4 B
A A
B A
3 95
A
2 B
90
1
0 85
6h day 1 day 7 day 14 day 1 day 7
time of assay time of assay
(c) (d)
4 0.03
0.02
2 B
0.01
A A
0 0
young old attacin tenecin 1
age gene of interest
(e) (f)
0.030
vol. secreted (ml h–1 mm–1)
proportion of live animals
0.030
vol. secreted (ml h–1 mm–1)
response is not a reliable predictor of host fitness after infec- older individuals. We find that bacterial infection rendered
tion. Our data suggest that these contradictory results may be MTs of older beetles almost dysfunctional (approx. 95%
mediated via a large reduction in MT activity in infected reduction). This implies that older infected beetles should
have difficulty in maintaining the water balance and accumu- (e.g. RNAi of PO response in insects) results in reduced 8
late toxic waste products inside the haemocoel [47]—a organ damage in older uninfected individuals, in turn,
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condition analogous to potential uraemic poisoning. We thus improving their lifespan.
propose that older beetles succumb to infection faster than We note an alternative possibility where the observed
younger beetles owing to the inability of damaged MTs to age-specific differences in survival and MT function could
effectively maintain physiological homeostasis. This may be artefacts of using only virgin beetles. In some insects,
also suggest that older beetles pay greater immunopathologi- virgin females also develop ovaries on par with their mated
cal costs of increased immune activation compared with counterparts but refrain from laying eggs [51]. If storing
young beetles. In fact, several studies in vertebrates show unfertilized eggs bears additional costs, then it is possible
that ageing leads to chronic inflammatory responses via that the physiological burden of carrying eggs increased
maladaptive impacts of the innate immune system, contribut- with age, resulting in observed physiological defects.
ing to the pathology of several age-related illnesses [19,48]. However, there is currently no evidence for such costs of
with suppressed anti-inflammatory cytokine interleukin-10 expect that the physiological burden of carrying unfertilized
expression, suggesting a link between overactive inflamma- eggs should impact our experimental results.
tory responses and increased risk of mortality [49]. We thus Overall, our work has important implications for the evol-
conclude that the observed increase in beetle immunity ution of maladaptive immune pathology in natural
with age actually represents immune activation at an populations. Natural selection might be almost blind to the
unnecessarily high level without any adaptive value. Instead, self-damage associated with the immune response, because
ageing leads to a dramatic increase in the negative impacts of the costs are usually paid at a later stage in life [23]. From a
inflammation in beetles, and the net impact of the immune public health perspective, such relaxed selection can pose a
response compromises old individuals’ fitness post-infection. serious problem to an ageing human population, potentially
Moreover, ageing may also reduce tolerance to infection, the exacerbating the autoimmune disease crisis worldwide
ability to limit negative impacts of pathogens, or self-damage [1,53,54]. We suggest that intimate connections between
(discussed in reference [50]). Consequently, older individuals immune action and immunopathology may drive these hall-
may increasingly rely on direct immune activation to limit marks of ageing. We hope that our observations encourage
pathogen burden, which could rapidly escalate the immuno- further empirical work for a deeper understanding of life-
pathological risk. However, we stress that currently there is history trade-offs and fitness impacts associated with
no evidence for this hypothesis in T. molitor. immune function and its immunopathological outcome.
Our work also highlights the intrinsic aspects of physiologi- These are necessary to understand how and why apparently
cal ageing in insects. We find that multiple components of maladaptive immunopathological features of an immune
immunity (e.g. PO and antimicrobial peptides) increase as a system have evolved.
function of age, even in the absence of pathogenic infection
(in naive beetles). A plausible explanation is that the observed
increase in baseline constitutive innate immune responses is a Data accessibility. Data available from the Dryad digital repository:
by-product of general relaxation of gene regulation associated http://dx.doi.org/10.5061/dryad.dk034 [55].
with ageing (see reference [23]). We further speculate that the Authors’ contributions. I.K. and J.R. conceived of and designed exper-
strength of selection on old individuals may be too weak [23] iments; I.K. carried out experiments and analysed data; I.K. and
J.R. wrote the manuscript. D.A. helped draft the manuscript. All
to effectively prevent such misregulation of the immune
authors gave final approval for publication.
system, resulting in increased risk of immunopathology.
Competing interests. We have no competing interests.
Indeed, in support of the above prediction, our data reveal a
Funding. We acknowledge funding and support from the Centre for
baseline reduction in MT functioning with age in naive beetles. International Collaboration, Free University of Berlin; DAAD and
This perhaps indicates an age-dependent trade-off between SERB-DST Young Investigator Grant supplements to I.K.; the
investment in immune function and prevention of its immuno- National Centre for Biological Sciences, India; a DST Inspire Faculty
pathological costs. It is possible that such increases in immune fellowship to D.A.; and a European Research Council (EVORESIN)
grant supplement to J.R.
responses and immunopathological damage to vital organs
(even without infection) could be a key feature of senescence. Acknowledgements. We are grateful to Paul Johnston, Dino McMahon,
Caroline Zanchi, Saurabh Mahajan and Vrinda Ravi Kumar for feed-
However, we lack direct empirical evidence for this hypothesis. back on the manuscript. We thank Jayjit Das, Caroline Zanchi, Arun
Further manipulative experiments are thus necessary to test Prakash and Dipendra Nath Basu for their help during experiments
whether experimental suppression of inflammatory pathways and data analysis.
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